Dear All

Thank you for joining the session today.

In RRR we discussed:

• Ambiguous genitalia
• Haemophilia
• Tuberous sclerosis

The clinical station showed a 6 year old with h/o repeated transfusions. Task was examination of Abdomen. Dr P took the hotseat and was soon Dr N swapped the hotseat. There were number of points which could be done different and we struggled for time. These were picked up and pointed by DR R, Dr W and DR J who wore the examiner hat.

The learning points are:

• Note the cues present watch carefully
• Be systematic – EXPOSURE – Inspection, Palpation, Percussion & Auscultation.
• Do not be ‘haphazard’.
• Time management is vital
• Slick examination technique is a must
• Verbalize your examination
• Confirm cues observed by your examination questions
• Consider examiner has not seen the video cues.
• You have to get Dependent cues. Don’t ask – Don’t get.

Please visit www.mrcpchclinicals.org to write your comments or points I may have missed.

Anil Garg